辨证分型治疗老年慢性咳嗽的随机平行对照研究

发布时间：2018-05-14 18:12

本文选题：老年慢性咳嗽 + 中医辨证论治　；参考：《中医临床研究》2017年04期

【摘要】：目的:观察辨证分型治疗老年慢性咳嗽疗效。方法:将121例住院患者采用简易随机法分为两组,对照组40例给予咳必清和氨溴索治疗;治疗组41例辨证分型为痰湿蕴肺(二陈汤合三子养亲汤加减)、痰热蕴肺(清金化痰汤加减)、胃气上逆(旋覆代赭汤加减)、肝火犯肺(泻白散合小柴胡加减)、肺阴亏虚(沙参麦冬汤加减);连续治疗7d为一个疗程,观测临床症状、咳嗽消失时间、不良反应。连续治疗2个疗程判定疗效。结果:治疗组中治愈21例,显效10例,有效6例,无效4例,总有效率为90.24%,咳嗽消失时间优于对照组(P=0.0010.01);对照组中治愈10例,显效9例,有效10例,无效11例,总有效率为70.5%。结论:辨证分型治疗老年慢性咳嗽效果显著,值得推广。
[Abstract]:Objective: to observe the effect of syndrome differentiation on chronic cough in the elderly. Methods: 121 inpatients were randomly divided into two groups. 40 patients in the control group were treated with Kebiqing and ambroxol. In the treatment group, 41 cases were classified as phlegm-dampness and accumulation of lung (Erchen decoction combined with Sanzi Yang-Huang decoction to reduce Qi), phlegm-heat accumulation of lung (Qingjin Huatan decoction to reduce Qi), stomach qi on the contrary (Xianshengdaizhe decoction, liver-fire invading the lung (Xiexibai San and Xiao Chaihu plus or subtraction, lung yin). Deficiency (Shashen Maiyong decoction for reduction); continuous treatment for 7 days as a course of treatment, Clinical symptoms, time of disappearance of cough and adverse reactions were observed. Two consecutive courses of treatment were used to evaluate the efficacy. Results: in the treatment group, 21 cases were cured, 10 cases were effective, 6 cases were effective, 4 cases were ineffective. The total effective rate was 90.240.The time of cough disappearance was better than that of control group (P 0.0010.01), while in the control group, 10 cases were cured, 9 cases were effective, 10 cases were effective, 11 cases were ineffective, the total effective rate was 70.5%. Conclusion: the effect of syndrome differentiation in treating senile chronic cough is remarkable and worth popularizing.
【作者单位】：甘肃中医药大学;
【分类号】：R256.11

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